Diabetic foot other imaging findings: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
[[Bone]] scan and [[white blood cells]] scan are two imaging modalities that can be used to assist [[physicians]] to better [[diagnosis|diagnose]] the [[diabetic foot]] [[ulcer|ulcerations]]. Both could be used when there is a high clinical suspicion for [[osteomyelitis]] while plain [[X-rays]] are negative. [[Leukocyte]] or [[white blood cells]] scan has a higher [[Specificity (tests)|specificity]] for [[ostemyelitis]] [[diagnosis]] and is accurate even in [[neuropathy|neuropathic]] [[patients]], in contrast to the [[bone]] scan. | |||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
===Bone Scan=== | ===Bone Scan=== | ||
| Line 10: | Line 10: | ||
*[[Bone]] scan is not accurate in [[neuropathy|neuropathic]] [[patients]], since it might become falsely positive in presence of [[hyperemia]] or [[charcot joint]]. | *[[Bone]] scan is not accurate in [[neuropathy|neuropathic]] [[patients]], since it might become falsely positive in presence of [[hyperemia]] or [[charcot joint]]. | ||
===White Blood Cell Scan=== | ===White Blood Cell Scan=== | ||
*[[Leukocyte]] or [[white blood cells]] scan could be used when there is a high clinical suspicion for [[osteomyelitis]] while plain [[X-rays]] are negative.<ref name="pmid9431370">{{cite journal| author=Lipsky BA| title=Osteomyelitis of the foot in diabetic patients. | journal=Clin Infect Dis | year= 1997 | volume= 25 | issue= 6 | pages= 1318-26 | pmid=9431370 | doi=10.1086/516148 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9431370 }} </ref> | *[[Leukocyte]] or [[white blood cells]] scan could be used when there is a high clinical suspicion for [[osteomyelitis]] while plain [[X-rays]] are negative.<ref name="pmid9431370">{{cite journal| author=Lipsky BA| title=Osteomyelitis of the foot in diabetic patients. | journal=Clin Infect Dis | year= 1997 | volume= 25 | issue= 6 | pages= 1318-26 | pmid=9431370 | doi=10.1086/516148 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9431370 }} </ref><ref name="pmid28465790">{{cite journal| author=Giurato L, Meloni M, Izzo V, Uccioli L| title=Osteomyelitis in diabetic foot: A comprehensive overview. | journal=World J Diabetes | year= 2017 | volume= 8 | issue= 4 | pages= 135-142 | pmid=28465790 | doi=10.4239/wjd.v8.i4.135 | pmc=5394733 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28465790 }} </ref> | ||
*In contrast to [[bone]] scan, it is reliable even in [[neuropathy|neuropathic]] [[patients]]. | *In contrast to [[bone]] scan, it is reliable even in [[neuropathy|neuropathic]] [[patients]]. | ||
*[[Leukocyte]] or [[white blood cells]] scan has a higher [[Specificity (tests)|specificity]] for [[ostemyelitis]] [[diagnosis]] compared to the [[bone]] scan. | *[[Leukocyte]] or [[white blood cells]] scan has a higher [[Specificity (tests)|specificity]] for [[ostemyelitis]] [[diagnosis]] compared to the [[bone]] scan. | ||
| Line 22: | Line 22: | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Needs | [[Category:Needs review]] | ||
Revision as of 19:53, 15 July 2021
|
Diabetic foot Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Diabetic foot other imaging findings On the Web |
|
American Roentgen Ray Society Images of Diabetic foot other imaging findings |
|
Risk calculators and risk factors for Diabetic foot other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Bone scan and white blood cells scan are two imaging modalities that can be used to assist physicians to better diagnose the diabetic foot ulcerations. Both could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative. Leukocyte or white blood cells scan has a higher specificity for ostemyelitis diagnosis and is accurate even in neuropathic patients, in contrast to the bone scan.
Other Imaging Findings
Bone Scan
- Bone scan could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative.[1]
- Bone scan is not accurate in neuropathic patients, since it might become falsely positive in presence of hyperemia or charcot joint.
White Blood Cell Scan
- Leukocyte or white blood cells scan could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative.[1][2]
- In contrast to bone scan, it is reliable even in neuropathic patients.
- Leukocyte or white blood cells scan has a higher specificity for ostemyelitis diagnosis compared to the bone scan.
References
- ↑ 1.0 1.1 Lipsky BA (1997). "Osteomyelitis of the foot in diabetic patients". Clin Infect Dis. 25 (6): 1318–26. doi:10.1086/516148. PMID 9431370.
- ↑ Giurato L, Meloni M, Izzo V, Uccioli L (2017). "Osteomyelitis in diabetic foot: A comprehensive overview". World J Diabetes. 8 (4): 135–142. doi:10.4239/wjd.v8.i4.135. PMC 5394733. PMID 28465790.